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���o.Y Washington County, Maryland 4. Department of Water Quality 16232 Elliott Parkway Williamsport, MD 21795 240.313.2600 PUBLIC WATER/SEWER SYSTEM CONNECTION PERMIT Type of permit: RES Type of service: SEWER Service Area: MauQansville/Orchard Hills Building Permit No.: WASHCO account No.: 0 Service Area No.: 150 Permission is hereby given to: Property Owner: DAN RYAN BUILDERS Applicant: DAN RYAN BUILDERS Street: 1829 HOWELL ROAD SUITE 4 City: HAGERSTOWN State: MD Zipcode: 21740 For property located ad 16IIUzi Street: SHELBY CIRCLE City: HAGERSTOWN State: MD Zipcode: 21740 Is the property in a subdivison? YES Subdivision name: TWIN RIDGE Subdivison lot no.: 77 Subdivision phase: 1 Subdivison section: Additional remarks: Will DWQ need to connect the lateral to the mainline? Permit No.: 3616 Issue Date: 04/08/2005 *Void Date: 04/08/2006 Fees paid in full? YES Date fees paid: 04/07/2005 Type of EDU: RES Number of EDU's• 1 Gallons per day allocation: 200 DWQ connection fee: $1,800-00 Misc. connection fees: 300.00 City fees paid to (city): City fees (amount): $1,800.00 Total fees charged: $3,900-00 Water & Sewer Department notes: *Connection related comments: This permit is good for one year from issuance date. A fee differential may be charged to reflect allocation fee increases if property is not connected by the permit void date. When connecting to a public water/sewer system, the installation of the connection and the abandonment of the previous private system shall conform with the provisions of Maryland State laws and County policy. This permit does not supercede any local ordinance that is in effect with regard to road excavations, plumbing permits, etc. ALL OTHER PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPONSIBILITY CONNECTED THERE WITH REMAINS WITH THE PROPERTY OWNER. Signed: 6 1 /jj Date: 04/08/2005 INSPECTION: At least 48 hours notice prior to requested date is required. ON SITE INSPECTION will be made by: Washington County Plumbing Board 80 W. Baltimore Street -• Hagerstown, MD 21740-4727 Phone: 240.313.2460 Inspection Date: i '� L9 �� Plumbing Inspector: PROJECT NAME: Tw i rj , i a 11 r OJECT NO:SD- /So - 71 w � '� PROPERTY ADDRESS: L o-rs 77-- 7 DRAWING NO: - MAIN LOCATIONEASEMEN T dT�t-e6ly L-s� e DATE INSTALLED:3- PROPERTY OWNER NAME: MH /J-Z.s' 'TO MH /SZ6 PROPERTY OWNER ADDRESS: _ MAIN STATION: /f All 4'7- • CONTRACTOR: 17u,44zberrq oro4;ors INc• _ CONNECTION ® MH: SIZE k TYPE SIZE do TYPE SIZE do TYPE INVERT ® DEP111 A p (LT) C (LT THA) DOUBLE TEE,10 SERVICE PIPE MAIN C/o Sc 41. *0 "SoN. y0 eo2,7•,rY` 7' /®•S f ©(RTC(RT (I - T) -- A --- - E3 C (R1) SrwW LAIERAL LOCAIION, STATION, 01111IY CROSSINGS AND DIMI:NSION ALL PERIINENT ITEMS FLOW ILFT �.J DOWNSTREAM RIGA l UPSTREAM MH # /3%Z,5- MH k 1.5-Z6 LIST QUANTITIES FOR PAY ITEMS HERE: BY: 0-. Tri+e— WAST IINGTON COUNTY INSPECTOR DIVISION OF PUBLIC WORKS )),DEPARTMENT VASTI/NCTON COUNTY, AIARYIANO WATER AND SEWER CONTRACTOR'S REPRESENTATIVE CO. NAME: DOUBLE GRAVITY SEWER LATERAL CONNECTION SHEET ., i C, , -T nsk